Evidence map›Paper›PMID 35361120›Full record

ArticleBMC emergency medicine2022

Implementation and findings on a one-minute sit-stand test for prehospital triage in patients with suspected COVID-19-a pilot project.

Julie Kjerulff, Allan Bach, Ulla Væggemose, Søren Helbo Skaarup, Morten Thingemann Bøtker

Open access · goldAbstract read
In one paragraph

Article in BMC emergency medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.6field-weighted citation impact, top 33% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 1 country.

Julie KjerulffPrehospital Emergency Medical Services, Research and Development, Central Denmark Region, Olof Palmes Allé 34, 2.floor, 8200, Aarhus N, Denmark. julkje@rm.dk.
Allan BachPrehospital Emergency Medical Services, Ambulances and Physician Critical Care Unit, Central Denmark Region, Olof Palmes Allé 34, 2.floor, 8200, Aarhus N, Denmark.
Ulla VæggemosePrehospital Emergency Medical Services, Research and Development, Central Denmark Region, Olof Palmes Allé 34, 2.floor, 8200, Aarhus N, Denmark.
Søren Helbo SkaarupDepartment of Respiratory Medicine and Allergy, Aarhus University Hospital, Central Denmark Region, Palle Juul-Jensens Boulevard 99, 8200, Aarhus N, Denmark.
Morten Thingemann BøtkerPrehospital Emergency Medical Services, Research and Development, Central Denmark Region, Olof Palmes Allé 34, 2.floor, 8200, Aarhus N, Denmark.
Central Denmark Region · DKRegional Hospital Horsens · DKRegional Hospital Randers · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionDuring the initial Coronavirus Disease 2019 (COVID-19) pandemic wave, sparse personal protection equipment made telephone triage of suscpeted COVID-19 patients for ambulance transport necessary. To spare resources, stable patients were often treated and released on-scene, but reports from Italy suggested that some later detoriated. We implemented a prehospital sit-stand test to identify patients in risk for detoriation.

methodsThe test was implemented as part of a new guideline in stable suspected COVID-19 patients younger than 70 years with no risk factors for serious disease triaged by general practitioners to ambulance response in the Central Denmark Region. Data were collected from April 6

resultsData on 156 patients triaged to ambulance response by general practioners were analysed. In total 86/156 (55%) were tested with the sit-stand test. Due to off-guideline use of the test, 30/86 (34.8%) were either older than 70 or had risk factors for serious disease. 10/156 (6%) of patients had a positive COVID-19-test. In total, 17/86 (20%) decompensated during the test and of these, 9/17 (53%) were treated with oxygen compared to 2/69 (3%) in patients who did not decompensate (p < 0.001).

conclusionIn a population suspected of COVID-19 but with a low COVD-19 prevalence, decompensation with the sit-stand test was observed in 20% of patients and was associated with oxygen treatment within 7 days. These findings are hypotheses-generating and suggest that physical exercise testing may be usefull for decision making in emergency settings.

Indexed as

COVID-19AmbulancesHumansItalyPilot ProjectsTriageCorona virus disease 2019Exercise testingPrehospital Emergency Medical Services

Identifiers

PMID35361120
PMCPMC8968777
OpenAlexW4225691157

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.